Kusagwirizana ndi madzi mwa akulu

Zamoyo zonse zimadalira madzi kuti zikhale ndi moyo. Pankhani ya anthu, ubongo ndi mtima wa munthu ndi madzi pafupifupi 70%, pomwe mapapo amakhala ndi 80%. Ngakhale mafupa ali pafupifupi 30% madzi. Kuti tikhale ndi moyo, timafunika pafupifupi malita 2,4 patsiku, mbali ina yomwe timapeza kuchokera ku chakudya. Koma chimachitika ndi chiyani ngati madzi atuluka? Izi zikugwira ntchito kwa ochepa omwe ali ndi vuto lotchedwa aquagenic urticaria. Kusagwirizana ndi madzi kumatanthawuza kuti madzi wamba omwe amakumana ndi thupi amachititsa kuti chitetezo chamthupi chiwonongeke.

Anthu omwe ali ndi vuto losowa kwambiri limeneli amachepetsa zipatso ndi ndiwo zamasamba zomwe zili ndi madzi ambiri ndipo nthawi zambiri amakonda kumwa zakumwa zoziziritsa kukhosi m'malo mwa tiyi, khofi, kapena madzi. Kuphatikiza pa zakudya, munthu amene akudwala urticaria ya m'madzi ayenera kulamulira zochitika zingapo zachilengedwe, monga thukuta ndi misozi, kuphatikizapo kuchepetsa kukhudzana ndi mvula ndi chinyontho kuti apewe ming'oma, kutupa, ndi ululu.

Kodi akulu angakhale osagwirizana ndi madzi

Mlandu woyamba wa urticaria wa aquagenic unanenedwa mu 1963, pamene msungwana wazaka 15 adakhala ndi zilonda pambuyo posambira m'madzi. Pambuyo pake, adadziwika kuti amamva kukhudzika kwambiri ndi madzi, kuwonekera ngati matuza owoneka pakhungu pakangopita mphindi zochepa.

Matendawa amapezeka kwambiri mwa amayi ndipo amayamba kukula akamatha msinkhu, ndipo chibadwa chimakhala chomwe chimayambitsa. Kusowa kwake kumatanthauza kuti vutoli nthawi zambiri silidziwika bwino ngati mankhwala omwe ali m'madzi, monga chlorine kapena mchere. Kutupa kumatha kukhala ola limodzi kapena kuposerapo ndipo kungayambitse odwala kukhala ndi phobia yosambira m'madzi. Pazovuta kwambiri, kugwedezeka kwa anaphylactic kumatha kuchitika.

Zofufuza zosachepera zana zapezeka m'mabuku azachipatala okhudzana ndi matendawa ndi matenda ena oopsa monga T-cell non-Hodgkin's lymphoma ndi matenda a hepatitis C. Kusafufuza kafukufuku wamankhwala ndi matenda kumapangitsa kuti zikhale zovuta kuzindikira vutoli, koma antihistamines zatsimikiziridwa kuti zimagwira ntchito mwa anthu ena. Mwamwayi, zimatsimikiziridwa kuti vutoli silikuipiraipira pamene wodwalayo akukula, ndipo nthawi zina amatha kutha.

Kodi kusagwirizana ndi madzi kumaonekera bwanji mwa akuluakulu?

Aquagenic urticaria ndizovuta kwambiri zomwe anthu amayamba kusagwirizana ndi madzi pambuyo pokhudzana ndi khungu. Anthu omwe ali ndi urticaria ya m'madzi amatha kumwa madzi, koma akhoza kukhala ndi vuto losambira pamene akusambira kapena kusamba, kutuluka thukuta, kulira, kapena mvula. Urticaria ndi matuza amatha kupezeka pakhungu lomwe limakhudzana mwachindunji ndi madzi.

Urticaria (mtundu wa zidzolo zoyabwa) zimayamba msanga khungu likakhudzana ndi madzi, kuphatikizapo thukuta kapena misozi. Matendawa amapezeka pokhapokha pakhungu, kotero kuti anthu omwe ali ndi urticaria aquagenic sakhala pachiopsezo chotaya madzi m'thupi.

Zizindikiro zimakula mofulumira kwambiri. Anthu akangokumana ndi madzi, amayabwa ming’oma. Ili ndi mawonekedwe a matuza, zotupa pakhungu, popanda kupanga matuza ndi madzi. Khungu likauma, nthawi zambiri limazirala pakadutsa mphindi 30 mpaka 60.

Pazovuta kwambiri, matendawa angayambitsenso angioedema, kutupa kwa minofu pansi pa khungu. Ichi ndi chotupa chakuya kuposa ming'oma ndipo chikhoza kukhala chowawa kwambiri. Onse urticaria ndi angioedema amayamba kukula akakumana ndi madzi kutentha kulikonse.

Ngakhale aquagenic urticaria amafanana ndi ziwengo, mwaukadaulo sichiri - ndi zomwe zimatchedwa pseudo-allergies. Njira zomwe zimayambitsa matendawa sizowona matupi awo sagwirizana.

Chifukwa cha izi, mankhwala omwe amagwira ntchito ku ziwengo, monga ma microdosed allergen shots omwe amaperekedwa kwa wodwala kuti alimbikitse chitetezo chamthupi ndikumanga kulolerana, sagwira ntchito kwathunthu. Ngakhale kuti antihistamines angathandize pochepetsa pang'ono zizindikiro za ming'oma, chinthu chabwino kwambiri chomwe odwala angachite ndikupewa kukhudzana ndi madzi.

Kuphatikiza apo, aquagenic urticaria imayambitsa kupsinjika kwakukulu. Ngakhale kuti zochita zimasiyanasiyana, odwala ambiri amakumana nazo tsiku lililonse, kangapo patsiku. Ndipo odwala amadandaula nazo. Kafukufuku wasonyeza kuti odwala omwe ali ndi mitundu yonse ya urticaria osatha, kuphatikizapo aquagenic urticaria, amakhala ndi kupsinjika maganizo kwakukulu ndi nkhawa. Ngakhale kudya ndi kumwa kumakhala kodetsa nkhawa chifukwa madzi akafika pakhungu kapena zakudya zokometsera zimatulutsa thukuta, wodwalayo sangagwirizane nazo.

Momwe mungachiritsire ziwengo zamadzi mwa akulu

Nthawi zambiri za urticaria zam'madzi zimachitika mwa anthu omwe alibe mbiri ya banja la urticaria yam'madzi. Komabe, nkhani za m’mabanja zanenedwa kangapo, ndipo lipoti lina limafotokoza za matendawa m’mibadwo itatu ya banja limodzi. Palinso mgwirizano ndi zikhalidwe zina, zina zomwe zingakhale zapabanja. Choncho, m`pofunika kusaganizira ena onse matenda, ndipo pokhapo kuchitira madzi ziwengo.

Diagnostics

Matenda a aquagenic urticaria nthawi zambiri amaganiziridwa potengera zizindikiro ndi zizindikiro. Kenako atha kuyitanitsa mayeso a madzi kuti atsimikizire kuti ali ndi matenda. Pakuyesa uku, compress yamadzi ya 35 ° C imayikidwa kumtunda kwa mphindi 30. Kumtunda kunasankhidwa kukhala malo omwe amawakonda kuti ayesedwe chifukwa madera ena, monga miyendo, sakhudzidwa kwambiri. Ndikofunika kumuuza wodwalayo kuti asamwe mankhwala oletsa antihistamine kwa masiku angapo asanamuyese.

Nthawi zina, muyenera kutsuka mbali zina za thupi ndi madzi kapena kusamba mwachindunji ndi kusamba. Kugwiritsiridwa ntchito kwa mayeserowa kungakhale kofunikira pamene kuyesedwa kwachidziwitso kwa madzi ochiritsira pogwiritsa ntchito madzi ang'onoang'ono a compress ndi oipa, ngakhale odwala amafotokoza zizindikiro za urticaria.

Njira zamakono

Chifukwa chakusowa kwa urticaria ya m'madzi, deta yokhudzana ndi mphamvu ya chithandizo cha munthu payekha ndi yochepa kwambiri. Mpaka pano, palibe maphunziro akuluakulu omwe achitika. Mosiyana ndi mitundu ina ya urticaria yakuthupi, komwe kuwonetseredwa kungapewedwe, kupewa kutulutsa madzi kumakhala kovuta kwambiri. Madokotala amagwiritsa ntchito njira zotsatirazi:

Antihistamines - nthawi zambiri amagwiritsidwa ntchito ngati chithandizo choyamba pamitundu yonse ya urticaria. Zomwe zimatchinga ma H1 receptors (H1 antihistamines) ndipo sizimatsitsimula, monga cetirizine, ndizokonda. Ma antihistamines ena a H1 (monga hydroxyzine) kapena H2 antihistamines (monga cimetidine) angaperekedwe ngati ma antihistamine a H1 sakugwira ntchito.

Creams kapena zinthu zina zam'mutu - amakhala ngati chotchinga pakati pa madzi ndi khungu, monga mankhwala opangidwa ndi petrolatum. Zitha kugwiritsidwa ntchito musanasambe kapena kuyika madzi ena kuti madzi asafike pakhungu.

phototherapy - pali umboni wakuti ultraviolet kuwala therapy (omwe amatchedwanso phototherapy), monga ultraviolet A (PUV-A) ndi ultraviolet B, amachepetsa zizindikiro za ziwengo nthawi zina.

Omalizumab Mankhwala obaya omwe amagwiritsidwa ntchito kwambiri kwa anthu omwe ali ndi mphumu yayikulu ayesedwa bwino mwa anthu angapo omwe ali ndi vuto lakumwa madzi m'thupi.

Anthu ena omwe ali ndi urticaria ya m'madzi sangawone kusintha kwa zizindikiro ndi chithandizo ndipo angafunikire kuchepetsa kukhudzana ndi madzi mwa kuchepetsa nthawi yosamba komanso kupewa ntchito zamadzi.

Kupewa ziwengo madzi akuluakulu kunyumba

Chifukwa chakusowa kwa matendawa, njira zodzitetezera sizinapangidwe.

Mafunso ndi mayankho otchuka

Anayankha mafunso okhudza kusagwirizana ndi madzi wazamankhwala, mphunzitsi wa pharmacology, mkonzi wamkulu wa MedCorr Zorina Olga.